Is there a need for a weight management control program in hemodialysis patients? The implication of exercise programs

• Autorzy: Bogataj S. , Pajek J. , Ponikvar J.B. , Pajek M.

Warianty tytułu

PL

Czy jest potrzeba stosowania programu kontroli wagi u pacjentów poddawanych hemodializie? Wykorzystanie programów ćwiczeń

• Języki publikacji: EN

Abstrakty

EN

Background. In hemodialysis (HD) patients, age-related muscle loss and body composition changes are more intense than in those with normal renal function. This study aimed to determine the effects of functional training in addition to intradialytic cycling exercise, compared to intradialytic cycling alone on body composition in HD patients. Material and methods. Patients were randomized to an experimental group (n=20; functional training and intradialytic cycling) or control group (n=20; intradialytic cycling) over 16 weeks. In the first 8 weeks, the experimental group attended guided functional training before dialysis, and afterward performed functional training at home. Results. After 16 weeks, a significant intergroup difference was found only in total body water only (p=0.037) in favor of the experimental group. Significant intragroup changes were found for weight (after 8 weeks: p=0.009; after 16 weeks: p=0.012), waist circumference (after 8 weeks: p=0.026; after 16 weeks: p=0.044), and BMI (after 16 weeks: p=0.046) in the experimental group and for fat tissue index (after 16 weeks: p=0.038) in the control group. Overall exercise compliance was high, reaching more than two-thirds of prescribed exercise volumes. Conclusions. Our results showed increased weight and BMI following functional training in HD patients. This increase was not a result of an increase in body fat, which was illustrated by unchanged results in fat tissue index.

PL

Wprowadzenie. U pacjentów poddawanych hemodializie związane z wiekiem utrata mięśni i zmiany w składzie ciała są bardziej intensywne niż u osób z prawidłowym funkcjonowaniem nerek. Celem badania było określenie wpływu treningu funkcjonalnego jako dodatku do śróddializacyjnych ćwiczeń na rowerze w porównaniu z samymi śróddializacyjnymi ćwiczeniami na rowerze na skład ciała pacjentów poddawanych hemodializie. Materiał i metody. Pacjenci zostali losowo przypisani do grupy doświadczalnej (n=20, trening funkcjonalny i śróddializacyjna jazda na rowerze) albo kontrolnej (n=20, śróddializacyjna jazda na rowerze) na 16 tygodni. Przez pierwszych osiem tygodni grupa doświadczalna uczestniczyła w prowadzonych przez trenera treningach funkcjonalnych przed poddaniem się dializie i wykonywała trening funkcjonalny w domu. Wyniki. Po 16 tygodniach pomiędzy grupami zaszła istotna zmiana w zakresie całkowitej zawartości wody w ciele (p=0,037) na korzyść grupy doświadczalnej. Wykazano zasadnicze różnice między grupami w zakresie wagi (po 8 tygodniach: p=0,009; po 16 tygodniach: p=0,012), obwodu pasa (po 8 tygodniach: p=0,026; po 16 tygodniach p=0,044) i wartości BMI (po 16 tygodniach: p=0,046) w grupie doświadczalnej oraz w zakresie wskaźnika tkanki tłuszczowej (po 16 tygodniach: p=0,038) w grupie kontrolnej. Ogólna zgodność ćwiczeń była wysoka i sięgała ponad 2/3 przepisanych ćwiczeń. Wnioski. Wyniki wykazały zwiększoną wagę i BMI w następstwie treningu funkcjonalnego u pacjentów poddawanych dializoterapii. Wzrost ten nie był efektem zwiększenia zawartości tłuszczu w ciele, co potwierdził brak zmian we wskaźniku tkanki tłuszczowej.

• Wydawca: -
• Czasopismo: Health Problems of Civilization
• Rocznik: 2021
• Tom: 15
• Numer: 1
• Opis fizyczny: p.29-36,fig.,ref.

Twórcy

autor

Bogataj S.

• Department of Nephrology, University Medical Centre, Ljubljana, Slovenia
• Faculty of Sport, University of Ljubljana, Slovenia

autor

Pajek J.

• Department of Nephrology, University Medical Centre, Ljubljana, Slovenia
• Faculty of Medicine, University of Ljubljana, Slovenia

autor

Ponikvar J.B.

• Department of Nephrology, University Medical Centre, Ljubljana, Slovenia
• Faculty of Medicine, University of Ljubljana, Slovenia

autor

Pajek M.

• Faculty of Sport, University of Ljubljana, Gortanova 22, 1000 Ljubljana, Slovenia

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Identyfikatory

DOI

/10.5114/hpc.2020.100396